|
PR REMOVAL OF SUTURES
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS S0630
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$38.34 |
| Rate for Payer: Aetna Commercial |
$27.32
|
| Rate for Payer: Aetna Medicare |
$21.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.32
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCN Commercial |
$38.34
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
|
|
PR REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY
|
Professional
|
Both
|
$2,325.00
|
|
|
Service Code
|
HCPCS 49402
|
| Min. Negotiated Rate |
$509.92 |
| Max. Negotiated Rate |
$1,743.75 |
| Rate for Payer: Aetna Commercial |
$1,063.87
|
| Rate for Payer: Aetna Medicare |
$825.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,143.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,063.87
|
| Rate for Payer: BCBS Complete |
$535.42
|
| Rate for Payer: BCBS MAPPO |
$793.93
|
| Rate for Payer: BCN Commercial |
$1,289.27
|
| Rate for Payer: BCN Medicare Advantage |
$793.93
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cofinity Commercial |
$1,143.26
|
| Rate for Payer: Cofinity Commercial |
$1,063.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$793.93
|
| Rate for Payer: Healthscope Commercial |
$1,468.77
|
| Rate for Payer: Healthscope Commercial |
$1,270.29
|
| Rate for Payer: Mclaren Medicaid |
$509.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$833.63
|
| Rate for Payer: Meridian Medicaid |
$535.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$873.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,528.11
|
| Rate for Payer: Nomi Health Commercial |
$952.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,743.75
|
| Rate for Payer: PACE SWMI |
$793.93
|
| Rate for Payer: PHP Medicare Advantage |
$793.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$509.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,570.89
|
| Rate for Payer: Priority Health Medicare |
$793.93
|
| Rate for Payer: Priority Health SBD |
$1,570.89
|
| Rate for Payer: Priority Health Tiered Network |
$1,570.89
|
| Rate for Payer: Railroad Medicare Medicare |
$793.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,524.62
|
| Rate for Payer: UHC Core |
$1,524.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$793.93
|
| Rate for Payer: UHC Exchange |
$1,524.62
|
| Rate for Payer: UHC Medicaid |
$509.92
|
| Rate for Payer: UHCCP Medicaid |
$509.92
|
|
|
PR REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY
|
Professional
|
Both
|
$654.00
|
|
|
Service Code
|
HCPCS 33233
|
| Min. Negotiated Rate |
$135.47 |
| Max. Negotiated Rate |
$490.50 |
| Rate for Payer: Aetna Commercial |
$278.76
|
| Rate for Payer: Aetna Medicare |
$216.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$299.56
|
| Rate for Payer: BCBS Complete |
$142.24
|
| Rate for Payer: BCBS MAPPO |
$208.03
|
| Rate for Payer: BCN Commercial |
$345.59
|
| Rate for Payer: BCN Medicare Advantage |
$208.03
|
| Rate for Payer: Cash Price |
$523.20
|
| Rate for Payer: Cash Price |
$523.20
|
| Rate for Payer: Cofinity Commercial |
$299.56
|
| Rate for Payer: Cofinity Commercial |
$278.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$208.03
|
| Rate for Payer: Healthscope Commercial |
$384.86
|
| Rate for Payer: Healthscope Commercial |
$332.85
|
| Rate for Payer: Mclaren Medicaid |
$135.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$218.43
|
| Rate for Payer: Meridian Medicaid |
$142.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$228.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$409.84
|
| Rate for Payer: Nomi Health Commercial |
$249.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$490.50
|
| Rate for Payer: PACE SWMI |
$208.03
|
| Rate for Payer: PHP Medicare Advantage |
$208.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$371.64
|
| Rate for Payer: Priority Health Medicare |
$208.03
|
| Rate for Payer: Priority Health SBD |
$371.64
|
| Rate for Payer: Priority Health Tiered Network |
$371.64
|
| Rate for Payer: Railroad Medicare Medicare |
$208.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$404.17
|
| Rate for Payer: UHC Core |
$404.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$208.03
|
| Rate for Payer: UHC Exchange |
$404.17
|
| Rate for Payer: UHC Medicaid |
$135.47
|
| Rate for Payer: UHCCP Medicaid |
$135.47
|
|
|
PR REMOVAL PERQ LEFT HRT VAD ARTL/ARTL&VEN SEP INSJ
|
Professional
|
Both
|
$580.00
|
|
|
Service Code
|
HCPCS 33992
|
| Min. Negotiated Rate |
$105.22 |
| Max. Negotiated Rate |
$435.00 |
| Rate for Payer: Aetna Commercial |
$223.27
|
| Rate for Payer: Aetna Medicare |
$173.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$239.93
|
| Rate for Payer: BCBS Complete |
$110.48
|
| Rate for Payer: BCBS MAPPO |
$166.62
|
| Rate for Payer: BCN Commercial |
$274.39
|
| Rate for Payer: BCN Medicare Advantage |
$166.62
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cofinity Commercial |
$239.93
|
| Rate for Payer: Cofinity Commercial |
$223.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$166.62
|
| Rate for Payer: Healthscope Commercial |
$308.25
|
| Rate for Payer: Healthscope Commercial |
$266.59
|
| Rate for Payer: Mclaren Medicaid |
$105.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$174.95
|
| Rate for Payer: Meridian Medicaid |
$110.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$183.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$331.18
|
| Rate for Payer: Nomi Health Commercial |
$199.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$435.00
|
| Rate for Payer: PACE SWMI |
$166.62
|
| Rate for Payer: PHP Medicare Advantage |
$166.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$295.07
|
| Rate for Payer: Priority Health Medicare |
$166.62
|
| Rate for Payer: Priority Health SBD |
$295.07
|
| Rate for Payer: Priority Health Tiered Network |
$295.07
|
| Rate for Payer: Railroad Medicare Medicare |
$166.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$356.46
|
| Rate for Payer: UHC Core |
$356.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$166.62
|
| Rate for Payer: UHC Exchange |
$356.46
|
| Rate for Payer: UHC Medicaid |
$105.22
|
| Rate for Payer: UHCCP Medicaid |
$105.22
|
|
|
PR REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ
|
Professional
|
Both
|
$315.00
|
|
|
Service Code
|
HCPCS 33997
|
| Min. Negotiated Rate |
$89.03 |
| Max. Negotiated Rate |
$292.95 |
| Rate for Payer: Aetna Commercial |
$188.70
|
| Rate for Payer: Aetna Medicare |
$146.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$188.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$202.78
|
| Rate for Payer: BCBS Complete |
$93.48
|
| Rate for Payer: BCBS MAPPO |
$140.82
|
| Rate for Payer: BCN Commercial |
$235.55
|
| Rate for Payer: BCN Medicare Advantage |
$140.82
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cofinity Commercial |
$202.78
|
| Rate for Payer: Cofinity Commercial |
$188.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.82
|
| Rate for Payer: Healthscope Commercial |
$260.52
|
| Rate for Payer: Healthscope Commercial |
$225.31
|
| Rate for Payer: Mclaren Medicaid |
$89.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.86
|
| Rate for Payer: Meridian Medicaid |
$93.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$154.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279.65
|
| Rate for Payer: Nomi Health Commercial |
$168.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.25
|
| Rate for Payer: PACE SWMI |
$140.82
|
| Rate for Payer: PHP Medicare Advantage |
$140.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$253.30
|
| Rate for Payer: Priority Health Medicare |
$140.82
|
| Rate for Payer: Priority Health SBD |
$253.30
|
| Rate for Payer: Priority Health Tiered Network |
$253.30
|
| Rate for Payer: Railroad Medicare Medicare |
$140.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$292.95
|
| Rate for Payer: UHC Core |
$292.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$140.82
|
| Rate for Payer: UHC Exchange |
$292.95
|
| Rate for Payer: UHC Medicaid |
$89.03
|
| Rate for Payer: UHCCP Medicaid |
$89.03
|
|
|
PR REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION
|
Professional
|
Both
|
$2,165.00
|
|
|
Service Code
|
HCPCS 22850
|
| Min. Negotiated Rate |
$457.10 |
| Max. Negotiated Rate |
$1,623.75 |
| Rate for Payer: Aetna Commercial |
$943.29
|
| Rate for Payer: Aetna Medicare |
$732.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,013.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$943.29
|
| Rate for Payer: BCBS Complete |
$479.95
|
| Rate for Payer: BCBS MAPPO |
$703.95
|
| Rate for Payer: BCN Commercial |
$1,125.44
|
| Rate for Payer: BCN Medicare Advantage |
$703.95
|
| Rate for Payer: Cash Price |
$1,732.00
|
| Rate for Payer: Cash Price |
$1,732.00
|
| Rate for Payer: Cofinity Commercial |
$943.29
|
| Rate for Payer: Cofinity Commercial |
$1,013.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$703.95
|
| Rate for Payer: Healthscope Commercial |
$1,302.31
|
| Rate for Payer: Healthscope Commercial |
$1,126.32
|
| Rate for Payer: Mclaren Medicaid |
$457.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$739.15
|
| Rate for Payer: Meridian Medicaid |
$479.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$774.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,313.78
|
| Rate for Payer: Nomi Health Commercial |
$844.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,623.75
|
| Rate for Payer: PACE SWMI |
$703.95
|
| Rate for Payer: PHP Medicare Advantage |
$703.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,203.06
|
| Rate for Payer: Priority Health Medicare |
$703.95
|
| Rate for Payer: Priority Health SBD |
$1,203.06
|
| Rate for Payer: Priority Health Tiered Network |
$1,203.06
|
| Rate for Payer: Railroad Medicare Medicare |
$703.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,278.55
|
| Rate for Payer: UHC Core |
$1,278.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$703.95
|
| Rate for Payer: UHC Exchange |
$1,278.55
|
| Rate for Payer: UHC Medicaid |
$457.10
|
| Rate for Payer: UHCCP Medicaid |
$457.10
|
|
|
PR REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION
|
Professional
|
Both
|
$2,299.00
|
|
|
Service Code
|
HCPCS 22852
|
| Min. Negotiated Rate |
$441.34 |
| Max. Negotiated Rate |
$1,724.25 |
| Rate for Payer: Aetna Commercial |
$909.83
|
| Rate for Payer: Aetna Medicare |
$706.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$909.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$977.73
|
| Rate for Payer: BCBS Complete |
$463.41
|
| Rate for Payer: BCBS MAPPO |
$678.98
|
| Rate for Payer: BCN Commercial |
$1,083.11
|
| Rate for Payer: BCN Medicare Advantage |
$678.98
|
| Rate for Payer: Cash Price |
$1,839.20
|
| Rate for Payer: Cash Price |
$1,839.20
|
| Rate for Payer: Cofinity Commercial |
$977.73
|
| Rate for Payer: Cofinity Commercial |
$909.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$678.98
|
| Rate for Payer: Healthscope Commercial |
$1,256.11
|
| Rate for Payer: Healthscope Commercial |
$1,086.37
|
| Rate for Payer: Mclaren Medicaid |
$441.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$712.93
|
| Rate for Payer: Meridian Medicaid |
$463.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$746.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,263.71
|
| Rate for Payer: Nomi Health Commercial |
$814.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,724.25
|
| Rate for Payer: PACE SWMI |
$678.98
|
| Rate for Payer: PHP Medicare Advantage |
$678.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,157.82
|
| Rate for Payer: Priority Health Medicare |
$678.98
|
| Rate for Payer: Priority Health SBD |
$1,157.82
|
| Rate for Payer: Priority Health Tiered Network |
$1,157.82
|
| Rate for Payer: Railroad Medicare Medicare |
$678.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,227.05
|
| Rate for Payer: UHC Core |
$1,227.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$678.98
|
| Rate for Payer: UHC Exchange |
$1,227.05
|
| Rate for Payer: UHC Medicaid |
$441.34
|
| Rate for Payer: UHCCP Medicaid |
$441.34
|
|
|
PR REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM
|
Professional
|
Both
|
$976.00
|
|
|
Service Code
|
HCPCS 23333
|
| Min. Negotiated Rate |
$293.09 |
| Max. Negotiated Rate |
$839.83 |
| Rate for Payer: Aetna Commercial |
$597.14
|
| Rate for Payer: Aetna Medicare |
$463.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$597.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$641.71
|
| Rate for Payer: BCBS Complete |
$307.74
|
| Rate for Payer: BCBS MAPPO |
$445.63
|
| Rate for Payer: BCN Commercial |
$730.53
|
| Rate for Payer: BCN Medicare Advantage |
$445.63
|
| Rate for Payer: Cash Price |
$780.80
|
| Rate for Payer: Cash Price |
$780.80
|
| Rate for Payer: Cofinity Commercial |
$641.71
|
| Rate for Payer: Cofinity Commercial |
$597.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$445.63
|
| Rate for Payer: Healthscope Commercial |
$824.42
|
| Rate for Payer: Healthscope Commercial |
$713.01
|
| Rate for Payer: Mclaren Medicaid |
$293.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$467.91
|
| Rate for Payer: Meridian Medicaid |
$307.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$490.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$839.83
|
| Rate for Payer: Nomi Health Commercial |
$534.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$732.00
|
| Rate for Payer: PACE SWMI |
$445.63
|
| Rate for Payer: PHP Medicare Advantage |
$445.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$293.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$780.92
|
| Rate for Payer: Priority Health Medicare |
$445.63
|
| Rate for Payer: Priority Health SBD |
$780.92
|
| Rate for Payer: Priority Health Tiered Network |
$780.92
|
| Rate for Payer: Railroad Medicare Medicare |
$445.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$806.63
|
| Rate for Payer: UHC Core |
$806.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$445.63
|
| Rate for Payer: UHC Exchange |
$806.63
|
| Rate for Payer: UHC Medicaid |
$293.09
|
| Rate for Payer: UHCCP Medicaid |
$293.09
|
|
|
PR REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR
|
Professional
|
Both
|
$276.00
|
|
|
Service Code
|
HCPCS 33286
|
| Min. Negotiated Rate |
$47.71 |
| Max. Negotiated Rate |
$207.00 |
| Rate for Payer: Aetna Commercial |
$100.70
|
| Rate for Payer: Aetna Medicare |
$78.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.22
|
| Rate for Payer: BCBS Complete |
$50.10
|
| Rate for Payer: BCBS MAPPO |
$75.15
|
| Rate for Payer: BCN Commercial |
$125.99
|
| Rate for Payer: BCN Medicare Advantage |
$75.15
|
| Rate for Payer: Cash Price |
$220.80
|
| Rate for Payer: Cash Price |
$220.80
|
| Rate for Payer: Cofinity Commercial |
$108.22
|
| Rate for Payer: Cofinity Commercial |
$100.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$75.15
|
| Rate for Payer: Healthscope Commercial |
$139.03
|
| Rate for Payer: Healthscope Commercial |
$120.24
|
| Rate for Payer: Mclaren Medicaid |
$47.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$78.91
|
| Rate for Payer: Meridian Medicaid |
$50.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$82.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.27
|
| Rate for Payer: Nomi Health Commercial |
$90.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$207.00
|
| Rate for Payer: PACE SWMI |
$75.15
|
| Rate for Payer: PHP Medicare Advantage |
$75.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$135.49
|
| Rate for Payer: Priority Health Medicare |
$75.15
|
| Rate for Payer: Priority Health SBD |
$135.49
|
| Rate for Payer: Priority Health Tiered Network |
$135.49
|
| Rate for Payer: Railroad Medicare Medicare |
$75.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.17
|
| Rate for Payer: UHC Core |
$155.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$75.15
|
| Rate for Payer: UHC Exchange |
$155.17
|
| Rate for Payer: UHC Medicaid |
$47.71
|
| Rate for Payer: UHCCP Medicaid |
$47.71
|
|
|
PR REMOVAL SUTURES&STAPLES NOT REQUIRING ANESTHESIA
|
Professional
|
Both
|
$46.00
|
|
|
Service Code
|
HCPCS 15854
|
| Min. Negotiated Rate |
$16.23 |
| Max. Negotiated Rate |
$34.50 |
| Rate for Payer: Aetna Commercial |
$21.75
|
| Rate for Payer: Aetna Medicare |
$16.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.75
|
| Rate for Payer: BCBS MAPPO |
$16.23
|
| Rate for Payer: BCN Commercial |
$21.41
|
| Rate for Payer: BCN Medicare Advantage |
$16.23
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cofinity Commercial |
$23.37
|
| Rate for Payer: Cofinity Commercial |
$21.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.23
|
| Rate for Payer: Healthscope Commercial |
$30.03
|
| Rate for Payer: Healthscope Commercial |
$25.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.87
|
| Rate for Payer: Nomi Health Commercial |
$19.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.50
|
| Rate for Payer: PACE SWMI |
$16.23
|
| Rate for Payer: PHP Medicare Advantage |
$16.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19.60
|
| Rate for Payer: Priority Health Medicare |
$16.23
|
| Rate for Payer: Priority Health SBD |
$19.60
|
| Rate for Payer: Priority Health Tiered Network |
$19.60
|
| Rate for Payer: Railroad Medicare Medicare |
$16.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.68
|
| Rate for Payer: UHC Core |
$27.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.23
|
| Rate for Payer: UHC Exchange |
$27.68
|
|
|
PR REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 15853
|
| Min. Negotiated Rate |
$12.27 |
| Max. Negotiated Rate |
$24.75 |
| Rate for Payer: Aetna Commercial |
$16.44
|
| Rate for Payer: Aetna Medicare |
$12.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.67
|
| Rate for Payer: BCBS MAPPO |
$12.27
|
| Rate for Payer: BCN Commercial |
$16.93
|
| Rate for Payer: BCN Medicare Advantage |
$12.27
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cofinity Commercial |
$17.67
|
| Rate for Payer: Cofinity Commercial |
$16.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.27
|
| Rate for Payer: Healthscope Commercial |
$22.70
|
| Rate for Payer: Healthscope Commercial |
$19.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.99
|
| Rate for Payer: Nomi Health Commercial |
$14.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.75
|
| Rate for Payer: PACE SWMI |
$12.27
|
| Rate for Payer: PHP Medicare Advantage |
$12.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15.50
|
| Rate for Payer: Priority Health Medicare |
$12.27
|
| Rate for Payer: Priority Health SBD |
$15.50
|
| Rate for Payer: Priority Health Tiered Network |
$15.50
|
| Rate for Payer: Railroad Medicare Medicare |
$12.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.59
|
| Rate for Payer: UHC Core |
$19.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.27
|
| Rate for Payer: UHC Exchange |
$19.59
|
|
|
PR REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA
|
Professional
|
Both
|
$165.00
|
|
|
Service Code
|
HCPCS 15851
|
| Min. Negotiated Rate |
$37.28 |
| Max. Negotiated Rate |
$123.75 |
| Rate for Payer: Aetna Commercial |
$76.93
|
| Rate for Payer: Aetna Medicare |
$59.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.67
|
| Rate for Payer: BCBS Complete |
$39.14
|
| Rate for Payer: BCBS MAPPO |
$57.41
|
| Rate for Payer: BCN Commercial |
$98.10
|
| Rate for Payer: BCN Medicare Advantage |
$57.41
|
| Rate for Payer: Cash Price |
$132.00
|
| Rate for Payer: Cash Price |
$132.00
|
| Rate for Payer: Cofinity Commercial |
$82.67
|
| Rate for Payer: Cofinity Commercial |
$76.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.41
|
| Rate for Payer: Healthscope Commercial |
$91.86
|
| Rate for Payer: Healthscope Commercial |
$106.21
|
| Rate for Payer: Mclaren Medicaid |
$37.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.28
|
| Rate for Payer: Meridian Medicaid |
$39.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$63.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$114.43
|
| Rate for Payer: Nomi Health Commercial |
$68.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$123.75
|
| Rate for Payer: PACE SWMI |
$57.41
|
| Rate for Payer: PHP Medicare Advantage |
$57.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$89.79
|
| Rate for Payer: Priority Health Medicare |
$57.41
|
| Rate for Payer: Priority Health SBD |
$89.79
|
| Rate for Payer: Priority Health Tiered Network |
$89.79
|
| Rate for Payer: Railroad Medicare Medicare |
$57.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.34
|
| Rate for Payer: UHC Core |
$80.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$57.41
|
| Rate for Payer: UHC Exchange |
$80.34
|
| Rate for Payer: UHC Medicaid |
$37.28
|
| Rate for Payer: UHCCP Medicaid |
$37.28
|
|
|
PR REMOVAL SUTURES UNDER ANESTHESIA SAME SURGEON
|
Professional
|
Both
|
$233.00
|
|
|
Service Code
|
HCPCS 15850
|
| Min. Negotiated Rate |
$93.20 |
| Max. Negotiated Rate |
$174.75 |
| Rate for Payer: Aetna Medicare |
$116.50
|
| Rate for Payer: BCBS Complete |
$93.20
|
| Rate for Payer: Cash Price |
$186.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$151.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$174.75
|
|
|
PR REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT
|
Professional
|
Both
|
$958.00
|
|
|
Service Code
|
HCPCS 11971
|
| Min. Negotiated Rate |
$328.87 |
| Max. Negotiated Rate |
$969.34 |
| Rate for Payer: Aetna Commercial |
$669.93
|
| Rate for Payer: Aetna Medicare |
$519.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$669.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$719.93
|
| Rate for Payer: BCBS Complete |
$345.31
|
| Rate for Payer: BCBS MAPPO |
$499.95
|
| Rate for Payer: BCN Commercial |
$839.59
|
| Rate for Payer: BCN Medicare Advantage |
$499.95
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cofinity Commercial |
$719.93
|
| Rate for Payer: Cofinity Commercial |
$669.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$499.95
|
| Rate for Payer: Healthscope Commercial |
$799.92
|
| Rate for Payer: Healthscope Commercial |
$924.91
|
| Rate for Payer: Mclaren Medicaid |
$328.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$524.95
|
| Rate for Payer: Meridian Medicaid |
$345.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$549.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$969.34
|
| Rate for Payer: Nomi Health Commercial |
$599.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$718.50
|
| Rate for Payer: PACE SWMI |
$499.95
|
| Rate for Payer: PHP Medicare Advantage |
$499.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$328.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$768.44
|
| Rate for Payer: Priority Health Medicare |
$499.95
|
| Rate for Payer: Priority Health SBD |
$768.44
|
| Rate for Payer: Priority Health Tiered Network |
$768.44
|
| Rate for Payer: Railroad Medicare Medicare |
$499.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$556.30
|
| Rate for Payer: UHC Core |
$556.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$499.95
|
| Rate for Payer: UHC Exchange |
$556.30
|
| Rate for Payer: UHC Medicaid |
$328.87
|
| Rate for Payer: UHCCP Medicaid |
$328.87
|
|
|
PR REMOVAL TUNNELED INTRAPERITONEAL CATHETER
|
Professional
|
Both
|
$1,010.00
|
|
|
Service Code
|
HCPCS 49422
|
| Min. Negotiated Rate |
$128.65 |
| Max. Negotiated Rate |
$757.50 |
| Rate for Payer: Aetna Commercial |
$271.28
|
| Rate for Payer: Aetna Medicare |
$210.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$271.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$291.53
|
| Rate for Payer: BCBS Complete |
$135.08
|
| Rate for Payer: BCBS MAPPO |
$202.45
|
| Rate for Payer: BCN Commercial |
$328.17
|
| Rate for Payer: BCN Medicare Advantage |
$202.45
|
| Rate for Payer: Cash Price |
$808.00
|
| Rate for Payer: Cash Price |
$808.00
|
| Rate for Payer: Cofinity Commercial |
$291.53
|
| Rate for Payer: Cofinity Commercial |
$271.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$202.45
|
| Rate for Payer: Healthscope Commercial |
$374.53
|
| Rate for Payer: Healthscope Commercial |
$323.92
|
| Rate for Payer: Mclaren Medicaid |
$128.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$212.57
|
| Rate for Payer: Meridian Medicaid |
$135.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$222.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$394.85
|
| Rate for Payer: Nomi Health Commercial |
$242.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$757.50
|
| Rate for Payer: PACE SWMI |
$202.45
|
| Rate for Payer: PHP Medicare Advantage |
$202.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$399.85
|
| Rate for Payer: Priority Health Medicare |
$202.45
|
| Rate for Payer: Priority Health SBD |
$399.85
|
| Rate for Payer: Priority Health Tiered Network |
$399.85
|
| Rate for Payer: Railroad Medicare Medicare |
$202.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$397.22
|
| Rate for Payer: UHC Core |
$397.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$202.45
|
| Rate for Payer: UHC Exchange |
$397.22
|
| Rate for Payer: UHC Medicaid |
$128.65
|
| Rate for Payer: UHCCP Medicaid |
$128.65
|
|
|
PR REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE
|
Professional
|
Both
|
$3,481.00
|
|
|
Service Code
|
HCPCS 33977
|
| Min. Negotiated Rate |
$660.30 |
| Max. Negotiated Rate |
$2,610.75 |
| Rate for Payer: Aetna Commercial |
$1,393.81
|
| Rate for Payer: Aetna Medicare |
$1,081.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,393.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,497.83
|
| Rate for Payer: BCBS Complete |
$693.32
|
| Rate for Payer: BCBS MAPPO |
$1,040.16
|
| Rate for Payer: BCN Commercial |
$1,648.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,040.16
|
| Rate for Payer: Cash Price |
$2,784.80
|
| Rate for Payer: Cash Price |
$2,784.80
|
| Rate for Payer: Cofinity Commercial |
$1,497.83
|
| Rate for Payer: Cofinity Commercial |
$1,393.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,040.16
|
| Rate for Payer: Healthscope Commercial |
$1,924.30
|
| Rate for Payer: Healthscope Commercial |
$1,664.26
|
| Rate for Payer: Mclaren Medicaid |
$660.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,092.17
|
| Rate for Payer: Meridian Medicaid |
$693.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,144.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,983.58
|
| Rate for Payer: Nomi Health Commercial |
$1,248.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,610.75
|
| Rate for Payer: PACE SWMI |
$1,040.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,040.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$660.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,772.56
|
| Rate for Payer: Priority Health Medicare |
$1,040.16
|
| Rate for Payer: Priority Health SBD |
$1,772.56
|
| Rate for Payer: Priority Health Tiered Network |
$1,772.56
|
| Rate for Payer: Railroad Medicare Medicare |
$1,040.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,010.59
|
| Rate for Payer: UHC Core |
$2,010.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,040.16
|
| Rate for Payer: UHC Exchange |
$2,010.59
|
| Rate for Payer: UHC Medicaid |
$660.30
|
| Rate for Payer: UHCCP Medicaid |
$660.30
|
|
|
PR REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST
|
Professional
|
Both
|
$1,393.00
|
|
|
Service Code
|
HCPCS 25251
|
| Min. Negotiated Rate |
$432.18 |
| Max. Negotiated Rate |
$1,280.09 |
| Rate for Payer: Aetna Commercial |
$886.20
|
| Rate for Payer: Aetna Medicare |
$687.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$886.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$952.33
|
| Rate for Payer: BCBS Complete |
$453.79
|
| Rate for Payer: BCBS MAPPO |
$661.34
|
| Rate for Payer: BCN Commercial |
$1,100.54
|
| Rate for Payer: BCN Medicare Advantage |
$661.34
|
| Rate for Payer: Cash Price |
$1,114.40
|
| Rate for Payer: Cash Price |
$1,114.40
|
| Rate for Payer: Cofinity Commercial |
$952.33
|
| Rate for Payer: Cofinity Commercial |
$886.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$661.34
|
| Rate for Payer: Healthscope Commercial |
$1,223.48
|
| Rate for Payer: Healthscope Commercial |
$1,058.14
|
| Rate for Payer: Mclaren Medicaid |
$432.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$694.41
|
| Rate for Payer: Meridian Medicaid |
$453.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$727.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,280.09
|
| Rate for Payer: Nomi Health Commercial |
$793.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,044.75
|
| Rate for Payer: PACE SWMI |
$661.34
|
| Rate for Payer: PHP Medicare Advantage |
$661.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$432.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,176.45
|
| Rate for Payer: Priority Health Medicare |
$661.34
|
| Rate for Payer: Priority Health SBD |
$1,176.45
|
| Rate for Payer: Priority Health Tiered Network |
$1,176.45
|
| Rate for Payer: Railroad Medicare Medicare |
$661.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,256.11
|
| Rate for Payer: UHC Core |
$1,256.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$661.34
|
| Rate for Payer: UHC Exchange |
$1,256.11
|
| Rate for Payer: UHC Medicaid |
$432.18
|
| Rate for Payer: UHCCP Medicaid |
$432.18
|
|
|
PR REMOVE BILE DUCT STONE, PERCUT
|
Professional
|
Both
|
$931.00
|
|
|
Service Code
|
HCPCS 47630
|
| Min. Negotiated Rate |
$372.40 |
| Max. Negotiated Rate |
$698.25 |
| Rate for Payer: Aetna Medicare |
$465.50
|
| Rate for Payer: BCBS Complete |
$372.40
|
| Rate for Payer: Cash Price |
$744.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$605.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$698.25
|
|
|
PR REMOVE DEEP SHOULDER FOREIGN BODY
|
Professional
|
Both
|
$1,070.00
|
|
|
Service Code
|
HCPCS 23331
|
| Min. Negotiated Rate |
$428.00 |
| Max. Negotiated Rate |
$802.50 |
| Rate for Payer: Aetna Medicare |
$535.00
|
| Rate for Payer: BCBS Complete |
$428.00
|
| Rate for Payer: Cash Price |
$856.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$695.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$802.50
|
|
|
PR REMOVE INT DWELL URETERAL STENT TRANSURETHRAL
|
Professional
|
Both
|
$1,629.00
|
|
|
Service Code
|
HCPCS 50386
|
| Min. Negotiated Rate |
$91.80 |
| Max. Negotiated Rate |
$1,221.75 |
| Rate for Payer: Aetna Commercial |
$191.37
|
| Rate for Payer: Aetna Medicare |
$148.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$191.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.65
|
| Rate for Payer: BCBS Complete |
$96.39
|
| Rate for Payer: BCBS MAPPO |
$142.81
|
| Rate for Payer: BCN Commercial |
$241.02
|
| Rate for Payer: BCN Medicare Advantage |
$142.81
|
| Rate for Payer: Cash Price |
$1,303.20
|
| Rate for Payer: Cash Price |
$1,303.20
|
| Rate for Payer: Cofinity Commercial |
$205.65
|
| Rate for Payer: Cofinity Commercial |
$191.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.81
|
| Rate for Payer: Healthscope Commercial |
$264.20
|
| Rate for Payer: Healthscope Commercial |
$228.50
|
| Rate for Payer: Mclaren Medicaid |
$91.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.95
|
| Rate for Payer: Meridian Medicaid |
$96.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$157.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.57
|
| Rate for Payer: Nomi Health Commercial |
$171.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,221.75
|
| Rate for Payer: PACE SWMI |
$142.81
|
| Rate for Payer: PHP Medicare Advantage |
$142.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$262.56
|
| Rate for Payer: Priority Health Medicare |
$142.81
|
| Rate for Payer: Priority Health SBD |
$262.56
|
| Rate for Payer: Priority Health Tiered Network |
$262.56
|
| Rate for Payer: Railroad Medicare Medicare |
$142.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$286.98
|
| Rate for Payer: UHC Core |
$286.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$142.81
|
| Rate for Payer: UHC Exchange |
$286.98
|
| Rate for Payer: UHC Medicaid |
$91.80
|
| Rate for Payer: UHCCP Medicaid |
$91.80
|
|
|
PR REMOVE NAIL BED/FINGER TIP
|
Professional
|
Both
|
$546.00
|
|
|
Service Code
|
HCPCS 11752
|
| Min. Negotiated Rate |
$218.40 |
| Max. Negotiated Rate |
$409.50 |
| Rate for Payer: Aetna Medicare |
$273.00
|
| Rate for Payer: BCBS Complete |
$218.40
|
| Rate for Payer: Cash Price |
$436.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$354.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$409.50
|
|
|
PR REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL
|
Professional
|
Both
|
$2,156.00
|
|
|
Service Code
|
HCPCS 50385
|
| Min. Negotiated Rate |
$120.77 |
| Max. Negotiated Rate |
$1,617.00 |
| Rate for Payer: Aetna Commercial |
$252.46
|
| Rate for Payer: Aetna Medicare |
$195.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$252.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$271.30
|
| Rate for Payer: BCBS Complete |
$126.81
|
| Rate for Payer: BCBS MAPPO |
$188.40
|
| Rate for Payer: BCN Commercial |
$318.21
|
| Rate for Payer: BCN Medicare Advantage |
$188.40
|
| Rate for Payer: Cash Price |
$1,724.80
|
| Rate for Payer: Cash Price |
$1,724.80
|
| Rate for Payer: Cofinity Commercial |
$271.30
|
| Rate for Payer: Cofinity Commercial |
$252.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$188.40
|
| Rate for Payer: Healthscope Commercial |
$301.44
|
| Rate for Payer: Healthscope Commercial |
$348.54
|
| Rate for Payer: Mclaren Medicaid |
$120.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$197.82
|
| Rate for Payer: Meridian Medicaid |
$126.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$207.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.22
|
| Rate for Payer: Nomi Health Commercial |
$226.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,617.00
|
| Rate for Payer: PACE SWMI |
$188.40
|
| Rate for Payer: PHP Medicare Advantage |
$188.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$120.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$346.63
|
| Rate for Payer: Priority Health Medicare |
$188.40
|
| Rate for Payer: Priority Health SBD |
$346.63
|
| Rate for Payer: Priority Health Tiered Network |
$346.63
|
| Rate for Payer: Railroad Medicare Medicare |
$188.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$387.78
|
| Rate for Payer: UHC Core |
$387.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$188.40
|
| Rate for Payer: UHC Exchange |
$387.78
|
| Rate for Payer: UHC Medicaid |
$120.77
|
| Rate for Payer: UHCCP Medicaid |
$120.77
|
|
|
PR REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER
|
Professional
|
Both
|
$1,982.00
|
|
|
Service Code
|
HCPCS 53446
|
| Min. Negotiated Rate |
$374.45 |
| Max. Negotiated Rate |
$1,486.50 |
| Rate for Payer: Aetna Commercial |
$773.45
|
| Rate for Payer: Aetna Medicare |
$600.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$773.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$831.17
|
| Rate for Payer: BCBS Complete |
$393.17
|
| Rate for Payer: BCBS MAPPO |
$577.20
|
| Rate for Payer: BCN Commercial |
$965.58
|
| Rate for Payer: BCN Medicare Advantage |
$577.20
|
| Rate for Payer: Cash Price |
$1,585.60
|
| Rate for Payer: Cash Price |
$1,585.60
|
| Rate for Payer: Cofinity Commercial |
$831.17
|
| Rate for Payer: Cofinity Commercial |
$773.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$577.20
|
| Rate for Payer: Healthscope Commercial |
$923.52
|
| Rate for Payer: Healthscope Commercial |
$1,067.82
|
| Rate for Payer: Mclaren Medicaid |
$374.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$606.06
|
| Rate for Payer: Meridian Medicaid |
$393.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$634.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,128.26
|
| Rate for Payer: Nomi Health Commercial |
$692.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,486.50
|
| Rate for Payer: PACE SWMI |
$577.20
|
| Rate for Payer: PHP Medicare Advantage |
$577.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$374.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,051.84
|
| Rate for Payer: Priority Health Medicare |
$577.20
|
| Rate for Payer: Priority Health SBD |
$1,051.84
|
| Rate for Payer: Priority Health Tiered Network |
$1,051.84
|
| Rate for Payer: Railroad Medicare Medicare |
$577.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,130.16
|
| Rate for Payer: UHC Core |
$1,130.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$577.20
|
| Rate for Payer: UHC Exchange |
$1,130.16
|
| Rate for Payer: UHC Medicaid |
$374.45
|
| Rate for Payer: UHCCP Medicaid |
$374.45
|
|
|
PR REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD
|
Professional
|
Both
|
$723.00
|
|
|
Service Code
|
HCPCS 33227
|
| Min. Negotiated Rate |
$192.55 |
| Max. Negotiated Rate |
$598.44 |
| Rate for Payer: Aetna Commercial |
$401.04
|
| Rate for Payer: Aetna Medicare |
$311.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$401.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$430.96
|
| Rate for Payer: BCBS Complete |
$202.18
|
| Rate for Payer: BCBS MAPPO |
$299.28
|
| Rate for Payer: BCN Commercial |
$500.47
|
| Rate for Payer: BCN Medicare Advantage |
$299.28
|
| Rate for Payer: Cash Price |
$578.40
|
| Rate for Payer: Cash Price |
$578.40
|
| Rate for Payer: Cofinity Commercial |
$430.96
|
| Rate for Payer: Cofinity Commercial |
$401.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.28
|
| Rate for Payer: Healthscope Commercial |
$553.67
|
| Rate for Payer: Healthscope Commercial |
$478.85
|
| Rate for Payer: Mclaren Medicaid |
$192.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.24
|
| Rate for Payer: Meridian Medicaid |
$202.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$329.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$598.18
|
| Rate for Payer: Nomi Health Commercial |
$359.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$542.25
|
| Rate for Payer: PACE SWMI |
$299.28
|
| Rate for Payer: PHP Medicare Advantage |
$299.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$538.19
|
| Rate for Payer: Priority Health Medicare |
$299.28
|
| Rate for Payer: Priority Health SBD |
$538.19
|
| Rate for Payer: Priority Health Tiered Network |
$538.19
|
| Rate for Payer: Railroad Medicare Medicare |
$299.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$598.44
|
| Rate for Payer: UHC Core |
$598.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$299.28
|
| Rate for Payer: UHC Exchange |
$598.44
|
| Rate for Payer: UHC Medicaid |
$192.55
|
| Rate for Payer: UHCCP Medicaid |
$192.55
|
|
|
PR REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS
|
Professional
|
Both
|
$749.00
|
|
|
Service Code
|
HCPCS 33228
|
| Min. Negotiated Rate |
$201.07 |
| Max. Negotiated Rate |
$626.68 |
| Rate for Payer: Aetna Commercial |
$419.07
|
| Rate for Payer: Aetna Medicare |
$325.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$419.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$450.35
|
| Rate for Payer: BCBS Complete |
$211.12
|
| Rate for Payer: BCBS MAPPO |
$312.74
|
| Rate for Payer: BCN Commercial |
$523.88
|
| Rate for Payer: BCN Medicare Advantage |
$312.74
|
| Rate for Payer: Cash Price |
$599.20
|
| Rate for Payer: Cash Price |
$599.20
|
| Rate for Payer: Cofinity Commercial |
$450.35
|
| Rate for Payer: Cofinity Commercial |
$419.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$312.74
|
| Rate for Payer: Healthscope Commercial |
$578.57
|
| Rate for Payer: Healthscope Commercial |
$500.38
|
| Rate for Payer: Mclaren Medicaid |
$201.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$328.38
|
| Rate for Payer: Meridian Medicaid |
$211.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$344.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$624.49
|
| Rate for Payer: Nomi Health Commercial |
$375.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$561.75
|
| Rate for Payer: PACE SWMI |
$312.74
|
| Rate for Payer: PHP Medicare Advantage |
$312.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$201.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$563.37
|
| Rate for Payer: Priority Health Medicare |
$312.74
|
| Rate for Payer: Priority Health SBD |
$563.37
|
| Rate for Payer: Priority Health Tiered Network |
$563.37
|
| Rate for Payer: Railroad Medicare Medicare |
$312.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$626.68
|
| Rate for Payer: UHC Core |
$626.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$312.74
|
| Rate for Payer: UHC Exchange |
$626.68
|
| Rate for Payer: UHC Medicaid |
$201.07
|
| Rate for Payer: UHCCP Medicaid |
$201.07
|
|
